Active NPI
Sandy Lightfoot Robertson, PHARMD
- Pharmacotherapy Pharmacist
- Concord, NC
National Provider Identifier
1073746954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacotherapy Pharmacist
- License
- 13181
- Practice address
- 270 Copperfield Blvd NE
Suite 202
Concord, NC 28025-2441 - Phone
- (704) 721-2060
- Fax
- (704) 721-2071
- NPI assigned
- Aug 26, 2009
- Last updated
- Aug 26, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacotherapy Pharmacist | 1835P1200X | 13181 | NC | Primary |
Addresses
Primary practice location
270 Copperfield Blvd NE
Suite 202
Concord, NC 28025-2441
Mailing address
270 Copperfield Blvd NE
Suite 202
Concord, NC 28025-2441
Phone (704) 721-2060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13181 | NC | MD | Pediatric Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251244800000",
"number": "1073746954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 COPPERFIELD BLVD NE",
"address_2": "SUITE 202",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252441",
"telephone_number": "704-721-2060",
"fax_number": "704-721-2071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 COPPERFIELD BLVD NE",
"address_2": "SUITE 202",
"city": "CONCORD",
"state": "NC",
"postal_code": "280252441",
"telephone_number": "704-721-2060",
"fax_number": "704-721-2071"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTSON",
"first_name": "SANDY",
"middle_name": "LIGHTFOOT",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-26",
"last_updated": "2009-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "1835P1200X",
"taxonomy_group": "",
"desc": "Pharmacist, Pharmacotherapy",
"state": "NC",
"license": "13181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.